MEDICARE: GALE SALER & ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LC1345	MD
2	101YP2500X	Professional Counselor	LC1345	MD

General Provider Information

NPI Number	:	1386059954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALE SALER & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	8613 HIDDEN HILL LN
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4226
Country	:	US
Telephone Number	:	301-509-9033
Fax Number	:

Provider Business Practice Location Address
First Line	:	8613 HIDDEN HILL LN
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4226
Country	:	US
Telephone Number	:	301-509-9033
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. GALE SALER
Credential	:	LCPC, CRC-MAC
Telephone Number	:	301-509-9033

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	06/23/2014

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